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[Objective ] To understand the prevalence of early renal damage in the hypertensive population in our city and its influencing factors , combined with review of the literature on this basis , the prevention and treatment of early renal damage Suggestions . [ Method ] using stratified cluster sampling method , the living conditions and the economic conditions and the 23 Shanghai Dahua Community rc and three village was extracted three conditions were better rc and a relatively poor Village population registration data , combined with census data and neighborhood committees , large community physicians in the field of community health service centers , after uniform training for all resident in the area of hypertension residents , the project is a closed site survey . Questionnaire collated data into SPSS13.0 database entry , frequency analysis , T test , univariate analysis , logistic analysis for statistical analysis . [Results] in Dachang community of 654 cases with complete data in patients with hypertension residents , the male to female ratio was 1:1.8 , the average age was 61 years . The prevalence of microalbuminuria was 24.8% male prevalence of 29.1% , women 22.4% prevalence . The prevalence rate of decline in renal function was 14.8% male prevalence of 13.0% , women 18.5% prevalence . Univariate analysis Results: microalbuminuria with blood low-density lipoprotein , smoking , BMI , blood uric acid , blood pressure control effect and blood cholesterol , high-density lipoprotein blood triglycerides , blood , blood glucose , waist circumference , hypertension The course of the disease has nothing to do . Decline in renal function with age, blood low-density lipoprotein , BMI , and blood cholesterol , blood triglycerides , blood high density lipoprotein regardless of the course of blood glucose , uric acid , waist circumference, smoking , high blood pressure , blood pressure control effect . Multivariate Logistic regression analysis Tip : LDL -c , BMI and duration of UMA risk factors , LDL -c and BMI GFR risk factors , protective factors medication GFR . [Conclusion] The prevalence of early renal damage in the hypertensive population of large cities in China 24.8% , 14.8% prevalence rate of decline in renal function , similar to the foreign research . Proposed the detection of early renal damage , the standard treatment .
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